HomeMy WebLinkAbout0099873-ElectricOSHKOSH
ON THE WATER
Job Address 681 W 5TH AVE
Contractor ZIMMER ELECTRIC LLC
Service ~) New (~ Change
Volts 120/240
Am ps 100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner KEVIN G KAROW ETAL
Category 612 ~ Residential-Single Family Addition/R
O Temp [ Type O Overhead
Circuits 0
Switches 0
No 99873
Create Date 02/03/2003
Plan
(~ Underground
Fixtures 0
Receptacles 0
Appliances
Use/Nature of SFPJ LATE PERMIT/Remodel bathroom. *Fee waived per JF.
Work
Fees: Valuation
Issued By:
$400.00 Plan Approval
$0.00 Permit Fee Paid $20.00
[] Permit Voided
Date 02/19/2003
In the performance of tCwork I agree.~e~-'~orm ail work pursuant to rules governing the described construction.
Signaturek/ ~/~~L. ~/'m,4~,~,. _ _-~ Date
Address~I4~0E SCOTT ST ~/// ~O~R(~'J wner WI 54963 - 0 Telephone Number
920-685-2387
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
OffHKO_/H
ON THF WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128.. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever ~s greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
JOB ADDRESS
CONTRACTOR
.ATE
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family r'3Duplex r-IMulti-Family [3Rental
SERVICE F1New F1Temporary TYPE
[3Change 6~Not Applicable
FILL IN THE APPROPRIATE BLANK YVITH THE NUMBER
Volts / )- ~ / 2. ~ Receptacles #
Phase /-..-6~
Amps ? po Switches #
E3Commercial [3Industrial
FIOverhead [3Not APplicable
[3Underground
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[3Range I-IDishwasher FIGarbage Disposal
[3Fan OR Blower F1Furnace [3A/C
[3Motors [3Gas Pumps ElOther
DESCRIPTION OF ALL WORK BEING DONE /~ ~'~ v~>~
F1Dryer
[3Electric Sign
FlWater Heater
3/02